81493 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81493, Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81493
- Description
- Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization